Individual
MR. BIJU MATHEW VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
454 LINDA DR, EAST MEADOW, NY 11554-2912
(516) 384-7150
Mailing address
454 LINDA DR, EAST MEADOW, NY 11554-2912
(516) 384-7150
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006392
NY
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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